Provider Demographics
NPI:1770592958
Name:MARTI-RODRIGUEZ, ALICIA (LCSW, RPT-S)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:
Last Name:MARTI-RODRIGUEZ
Suffix:
Gender:F
Credentials:LCSW, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7344 SW 48TH ST
Mailing Address - Street 2:SUITE #302
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5546
Mailing Address - Country:US
Mailing Address - Phone:305-663-0013
Mailing Address - Fax:305-663-8138
Practice Address - Street 1:7344 SW 48TH ST
Practice Address - Street 2:SUITE #302
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5546
Practice Address - Country:US
Practice Address - Phone:305-663-0013
Practice Address - Fax:305-663-8138
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health